This entry is part of an ongoing series where pharmacists describe inspiring patient interventions. Have a story you wish to share? Send it to vwood@ensembleiq.I called a patient who we had done a systems review with and determined that he was awakening 4-5 times per night to urinate, and also had a long-term nagging cough. We talked about his treatment for urinary incontinence, his untreated allergies, and his use of an ACE inhibitor.We had sent a recommendation to add tamsulosin and it has decreased his nighttime awakenings to 2 each night. Our plan is to try treating the allergies first in case it is an allergic cough—his allergies are active all of the time—and if that does not work will suggest a change from the ACE to and ARB.This gentleman is in a wheelchair most of the day, and has Parkinson’s and dementia in their early stages. Still, by catching an untreated indication or two, or addressing an adverse effect, we will help increase his quality of life.These are often the small problems that get missed while the focus is on the larger problems. It is the kind of thing pharmacists can pick up on all of the time.